Pediatrics MIPS Specialty Measure Set (2018)

This measure set was for 2018 MIPS Quality reporting. View 2019 version ->

CMS specialty measure sets may be reported as an alternative to reporting 6 separate quality measures. If a measure set has less than 6 measures, eligible groups and clinicians must report all measures in the set. However, if a set has more than 6 measures, participants may choose the 6 measures that best fit their practice. Remember, at least one outcome measure must be reported, regardless of whether or not an outcome measure is included in a measure set.

Quality IdMeasure NameHigh PriorityMeasure TypeMeasure DescriptionFull Specifications
065Appropriate Treatment for Children with Upper Respiratory Infection (URI)NoProcessPercentage of children 3 months-18 years of age who were diagnosed with upper respiratory infection (URI) and were not dispensed an antibiotic prescription on or three days after the episodeRead More
066Appropriate Testing for Children with PharyngitisNoProcessPercentage of children 3-18 years of age who were diagnosed with pharyngitis, ordered an antibiotic and received a group A streptococcus (strep) test for the episodeRead More
091Acute Otitis Externa (AOE): Topical TherapyNoProcessPercentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparationsRead More
093Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy – Avoidance of Inappropriate UseNoProcessPercentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapyRead More
110Preventive Care and Screening: Influenza ImmunizationNoProcessPercentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunizationRead More
134Preventive Care and Screening: Screening for Depression and Follow-Up PlanNoProcessPercentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screenRead More
205HIV/AIDS: Sexually Transmitted Disease Screening for Chlamydia, Gonorrhea, and SyphilisNoProcessPercentage of patients aged 13 years and older with a diagnosis of HIV/AIDS for whom chlamydia, gonorrhea, and syphilis screenings were performed at least once since the diagnosis of HIV infectionRead More
391Follow-Up After Hospitalization for Mental Illness (FUH)YesProcessThe percentage of discharges for patients 6 years of age and older who were hospitalized for treatment of selected mental illness diagnoses and who had a follow-up visit with a mental health practitioner. Two rates are submitted: • The percentage of discharges for which the patient received follow-up within 30 days of discharge. • The percentage of discharges for which the patient received follow-up within 7 days of discharge.Read More
394Immunizations for AdolescentsNoProcessThe percentage of adolescents 13 years of age who had the recommended immunizations by their 13th birthdayRead More
398Optimal Asthma ControlYesOutcomeComposite measure of the percentage of pediatric and adult patients whose asthma is well-controlled as demonstrated by one of three age appropriate patient reported outcome tools and not at risk for exacerbationRead More
402Tobacco Use and Help with Quitting Among AdolescentsNoProcessThe percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco userRead More
444Medication Management for People with AsthmaYesProcessThe percentage of patients 5-64 years of age during the measurement year who were identified as having persistent asthma and were dispensed appropriate medications that they remained on for at least 75% of their treatment periodRead More
447Chlamydia Screening and Follow UpNoProcessThe percentage of female adolescents 16 years of age who had a chlamydia screening test with proper follow-up during the measurement periodRead More
464Otitis Media with Effusion (OME): Systemic Antimicrobials- Avoidance of Inappropriate UseYesProcessPercentage of patients aged 2 months through 12 years with a diagnosis of OME who were not prescribed systemic antimicrobialsRead More
467Developmental Screening in the First Three Years of LifeNoProcessThe percentage of children screened for risk of developmental, behavioral and social delays using a standardized screening tool in the 12 months preceding or on their first, second, or third birthday. This is a composite measure of screening in the first three years of life that includes three, age-specific indicators assessing whether children are screened in the 12 months proceeding or on their first, second or third birthdayRead More

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